Nwanguma, Onyeoziri Raphael

Nwanguma, Onyeoziri Raphael is an individual health care provider with primary practice located at 825 Second Avenue East Suite A4, Bowling Green KY 42101-1789. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nwanguma, Onyeoziri Raphael can be contacted via phone (717) 531-8521.

Contact Information

Primary practice address
825 Second Avenue East Suite A4 Bowling Green KY 42101-1789
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT049539T Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 45330 Kentucky

Profile Details

NPI number 1982864344
LBN Legal business name Nwanguma, Onyeoziri Raphael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Jun 1st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982864344 NPPES
Kentucky MEDICAID 7100221340

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